Healthcare Provider Details

I. General information

NPI: 1659233914
Provider Name (Legal Business Name): JOSHUA ADAM EGBERT APRN PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E 750 N
OREM UT
84097-4345
US

IV. Provider business mailing address

339 W 900 N
AMERICAN FORK UT
84003-5110
US

V. Phone/Fax

Practice location:
  • Phone: 801-897-9423
  • Fax:
Mailing address:
  • Phone: 801-897-9423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7026594-4450
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: